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Head to toe examination

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Presentation on theme: "Head to toe examination"— Presentation transcript:

1 Head to toe examination

2 General inspection Weight / nutrition Age Deformities in the body
Colour: cyanosis, paleness Skin appearance Odor Hidration

3 Head and neck examination
If child inspect for fontanellas Check for nerve function in the facial region (trigeminal and facial) Eye inspection:general appearance (exophtalmus), pupillary light reflex, nystagmus, vestibulo-ocular reflex, conjuntiva. External ear inspection: discharge, ulcers, congenital defects (eg. microtia) Nose inspection: position of septum, presence of discharge, obstruction Mouth: tongue movement, tonsils, palates, lips Neck: lymph nodes, thyroid gland, salivary glands

4 Thorax examination Shape of the chest (tracheal deviation, pectum excavatum, carinatum) Examination and palpation of breasts Respiratory movements Auscultation of lungs: weezes, crackles, stridor. Auscultation of heart Percussion of lungs (fluidothorax, pneumothorax)

5 Examination of Abdomen
Inspection (caput medusa) Palpation of abdominal cavity (start in the healthy side, light-deep palpation) Liver: boundaries (scratching method or percussion), Ascites Gall bladder: Murphy’s sign Kidneys: percussion Tapotman sign Spleen: pathological palpation Appendix: Mc Burney’s sign (tenderness), Psoas sign, Blumberg sign (deep palpation and release). Rectal examination

6 Examination of extremities
Palpation of the axilla and groin. Assessment of radial pulse. Assessment of femoral and posterior tibial pulse. Oman’s sign

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